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Home My WebLink About1526-zNO. 4 TOWN OF SOUTHOLD EUILDING DEPARTMENT TOWH CLERK'S OFFICE SOUTHOLD, H. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .~QU~.-.J~.]~..J~}~.~"'~&~.-~tt~'"' Street Map ki~,c~]~t:~' K't'~Ct'Rloek No. *~ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. ..~..~..~.~..~..~....2.~ ............................... , 19...~.~.. pursuant to which Building Permit No..~....~.~.2..~... dated ..~ti~;..-2~J ............................ , 10....6~ was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .......... This certificate is issued to ........................... ~.T.?~?~..~.,....~.?..~.~..~.....~...~,,.~.~'. ........................................... (owner, lessee or tenant) of the aforesaid building. FOI~I~ NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1526 Z Date ........................ A'agZtS-t...23 .......... 19..61. Permission is hereby granted .Joh~.....Ega. n ....................................................... · 1.3br.~......~q .~d..i.ut~..Kv.e ...................................... ......... t~ew...~o~k...6.5 ............................................. to ...... Build...an...add i.t.t~n., xan...., an.. ~:Lst.:tng.. ~xqellJ. ng ................................................. ol premises located ot ...L~:g..)+5'.y.....G~:~0.~....z~zl.e.e..~::s¢3 ..................................................................... ............................................ ~*~c.]...~,e~o ,_*.,. *-~*~.~ ~e ........................................................................... ............................................... ?;~ ~;.i*h~k ..................... pursuant to application doted ................................ Attgt~:e~ ........ 23 ...... 19..~.~., and approved by the Building Inspector F~e $.'5"~'0(3 ............ Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19 ........ Permit No ............................... Application No. /~-,~. (o Disapproved a/c ..... .... , ....: ......... ./.,~.)'L ....... £,,,,.24-.~..~...LibZ~.:::~ .......................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o, This application must be completely filled in by typewriter or in ink and submitted in duplicate (o the Building Inspector. i ', b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining prefinises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which i~ p~rt of this Io~ation. c. The work covered by th s appl cat on may not be commenced before ssuance of Bu Id ng P~r~t., d, Upon approval of this application, the Building Inspector will issue a Building Permit to~, theiB..pplicant. Such permit shall be kept on the premises available for inspection throughout the progress of the work. ~ e. No building shall be occupied or used in whole or in p art for any purpose whatever until a Cer~.ificai:e"of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanoe of a Building PerMit pursgqqt to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable L'gws, Ordir~nces or Regulations, for the construction of buildings, additions or a Iterations, or for removal or dem61ition, a~ herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations, ; : John E. Egan~ , (Sigr)ature of applicant, or nL~me, if o corporation) State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, el/ec!ricion, plumber ior builder. owner - builder '~ -; John E. E~an Name of owner of premises ....................................................................................................... ?: ........................................... /{ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Capt Kidd/.Est ~5 . 1. Location of land on which proposed work will be done. Map No: ................................. ~! .......... Lot No: ................... ,, . Sound Beach Dr, .attituck Street and iNumoer .................................... ; .......................................... Municipality 2. State existing use and occupancy of premises and intended use and occupanci, Of proposed construction: dwelling :' ' o. Existing use end occupancy ................................................................................ ~ .................................................... b. Intended use and occupancy ....... ::. ......... ..~..~..l;..~...~...n......a..~..°:%.T'...~..°..~.. ................ "..,'..:.4 ........................................... t \ 3. ~Nature~f work (check which applicable): New Building .................... Addition ". ';I~,~. .......... Alteration .................... Repair ..I[. ............... Removal .................... Demolition .................... Other Work (Describe) .................... Estimated ~Cost...$.. '~' ¢0.. J~,/' M ..................................... Fee ......... ~...00 ....................................................................... ~ (to be paid on filing this application) If dwelling.)lumber of dwelling units..~l~l .................. Number of dwelling un ts on each floor .... ~"~lf garage, qqber of cars ........................................................................................................ ~ ................................... 6. ~':¢ business, )mmercial or mixed occupancy, specify nature and extent of each type of use .............................. 7. Dirhensions c existing structures, if any: Front ...................~,.... Rear ............. ~2. .......... Depth ....... .~-.0. ............... Helght .......................... Number of Stories ...... ~ .................................................. : ............................................ Dimensions of Same structure with alterations or additions: Front ............................. r..L Rear ................................ Depth .............................. Height .............................. Number of Stories ..................... i" ......... 8. Dimensions of entire new constFcictlon: Front ........ '.'!'O' .............. Rear .......... "1'0 ........ r .... Depth .......... :1~I, ............. Height ............................ Number of Stories ...... Ot'i~ ................ 9. Size of lot: Front ..... '~'00 ............... Rear ............ '~'00 ........ Depth ..... 10. Date of Purchase ........................................................ Name of Former Owner ............. !,. ......................................... 11. Zone or use district in which premises are situated ........... ~t~.~ ...................................... :..~ .................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ............ ~O ................................... 13. Name of Owner of premises ....... ~OJ'~"~'~l~ ...........Address ............................................ Phone NO ..................... Name of Architect ................................. I! ..................... Address ............................................ Phone NO ..................... Name of Contractor ............................... .~ .................. Address ............................................ Phan~ NO ..................... PLOT DIAGRAM Locate clearly and dlstinctly oil buildings, whether existing or proposed, and indicate all set-bpck.dimensions from property lines. Give street and block numbers or description according to deed, and show street! names and indicate whether interior or corner lot. STATE OF NEW YORK, S S. COUNTY OF '"'J]'~J~£O']ZJ[ ....... ) , ' ~'~J'l~ -- . ...... being duly sworn, deposes and ,"s?ys that he is the 6pp cant i'l~ o~m~hv~ u~a('~i~ining application) ,. above named. He ~s the ........ ~"'~'"~t:i.'].~e~ ......................................... , ................ ; ...... ~'", ............................................ (Contractor, agent, corporate officer, .etc.) of said owner or owners, and is duly author zed to perform or have performed the said Work and to make'and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner setjL~,~t~hT.inBo~r~l~ application filed therewith. Sworn to before me this ~¢ary ptlbllC, State of New .8 52,0344963 Suffolk County¢¢ day/~f ................. '_'~'~l~l~lt~ ..... ~.~.~g~ ~r, rcl~ :/0, L9 L~ (Signatu,~ of~ilpp}i Notary Public,· · · ..~.'. ~-.~. ~¢<~' .... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........................................ 19....~... Approved ........................................ 19 ........ Permit No ............................... Disapproved a/c .............................................................................................. Application No ...................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan ~howing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a'detailed description of layout of property must be drawn on the diagram which is part of this location. c. The work covered by this application may not be commenced before issuance of Building PermitL d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be ~pt on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in p art for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building .Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, Ordinances or Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinonces and regulations. (SignatUre of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or b,',ilder. ............ ................................................................................ ............................................................................ Name of owner of premises....~.~.].'/.~.......~...~.~...~....~.~.... ................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: .~..~...~...~.(.~.~.....~.~...~...~.'.. Lot No: . .~..~..~. .......... Street and Number C [~' . ?~/ T~'C/~' Municipality 2. State existing use and occupancy of premises and in'ten~ed ~se and occupancy of prpposed construction: a. Existing use and occupancy ........ ].'"/..'~".~../~.~ ...... ~...~.~..~.,/..~....~...~...~....~..~.. .......................... ' ..................................... b. Intended use and occu .......... /.~..0 .(.~ '~ ..~ .L.~. ~ ~-~ ~E° ~ ..'~..~. ~ 3/ · Nature of work (check which applicable): New Building .................... Addition ...~ .............. Alteration .................... Repair ............... ~..Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ...... ,-/.~..~. ............................................. Fee ..... ~.... .............................................................................. (to be p~aid on filing this application) 5. If dwelling, number of dwelling units .......~. ....................... Number of dwelling units on each floor ..... z~ .................. If garage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................. 7. Dimensions of existing structures, if any: Front......~'....'~.. ................ Rear ..... .~....~.. ........ '. ....... Depth ..~.~..1~. .................. Height ....].~...t'. .............. Number of Stories .... /. ....................................................................................................... Dimensions of same structure with alterations or additions: Front .... .~'..~. ................... Rear ..... . .~.~.. ................... Depth ......,~....O.. ................ Height ........ /.~.. .............. Number of Stories ........ ~/. ...................... 8. Dimensions of entire new construction: Front...../.,~). .................Rear ......... ../.~. ............. Depth .../...~... ................. Height ......,/~.. ............... Number of Stories ..... ./. ................... 9. Size of lot: Front ...J.~..~.. .............. Rear .....~..{~..~.. ............ Depth ...~....~...~. ............... 10, Date of Purchase ..... J~,/~..~/.....L?..~.~.~. ....... ............. Name of Former Owner ..e~,~.,.,~,.,~.......~..~...~....~.../~..,~....J'.'.'..~....Z/J/C 11. Zone or use district in which premises are situated ............................................................................................... 12. Does proposed construction violote..~. ~,~.......~.~..~...~....A/.Addressany zo;ing law, ordinance or regulation;).)L~.~,' ~;tl''~'''''''~''''O' ................................... VI ~3 "~"_'~., 13. Name of Owner of prem sss ~ ..~...~...~..~...~....~.~..../~...~.'..~'..Ph~ne NO.~.,~.7..~.'&~?;7~- Name of Architect ........................................................ Address ........................................... Phone NO ..................... Name of Contractor .................................................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. HOUSE. rt:lldo mi, STATE OF NEW ¥,ORI~,/ .,e _~. S S COUNTY OF .~ ' 19 · I 0 ' ..................................~"~-/,e...C:.............~_....~ ....................... .being duly sworn, deposes and s~s that he is the applicant (Na~~ua~i~ application) ab~ named. He is the ................ ~~...~.~~ ........................................ :~ ...................................... (Contractor, agent, co~orate officer, e~.) ~ of sa d owner or ~nem, and is duly authorized to perform or h~e pefform~ the said ~9[k ~nd ~o,make ~qd fil~ this app icat on; tha~ a I statements contaln~ in this application am true to ~e ~st at h~s ~owmage aha ~miet; and that the work wdl ~ pefform~ in the ~nner ~t fo~h in the app cat ~ f ed the~ th. Sworn to ~fore me ~is ........................ d~ of ..y...~ ................. ~ ........... (Signature of applicant) Notaw Public,. ...... ~~~ ............. ........... Coun~Coun~ /~/~ ~ ~,, ~